A nurse is preparing to perform a blood glucose test. After performing hand hygiene and donning gloves, in which order should the nurse perform the following actions to obtain a capillary blood sample? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Choice A Reason:
"I'll make sure I stay away from microwave ovens." This statement is incorrect . While there were concerns about interference in the past, modern pacemakers are generally not affected by household appliances like microwave ovens.
Choice B Reason:
"I should have an MRI, rather than a CAT scan, if necessary." This statement is incorrect. Both MRI and CAT scans have considerations when a person has a pacemaker. An MRI might be contraindicated due to the magnetic field, while a CAT scan might be a safer imaging choice.
Choice C Reason:
"I'll hold my cell phone against the ear on the opposite side of my body." This statement reflects an understanding of the precaution to avoid holding a cell phone directly over the implanted pacemaker. Keeping the phone on the opposite side helps minimize the potential interference with the pacemaker's function.
Choice D Reason:
"I shouldn't travel by plane because of airport security." This statement is incorrect. Airport security systems generally don't affect pacemakers, so traveling by plane is usually safe. However, informing security personnel about the presence of a pacemaker is a good practice.

Choice A Reason

Using a hair dryer to blow hot air into the cast is not recommended. It can cause burns, soften the cast material, or create hot spots, potentially leading to skin damage or discomfort for the client.

Choice B Reason:

Perform neurovascular checks of the affected extremity every 2 hours is correct. Performing neurovascular checks regularly is crucial to assess the circulation, sensation, and movement of the affected extremity. This monitoring helps identify any signs of compromised blood flow or nerve function, which could indicate complications such as compartment syndrome.

Choice C Reason:

Positioning the fractured arm below the level of the client's heart is not advisable. Elevating the injured limb above heart level can help reduce swelling and promote blood flow, aiding in the healing process and preventing complications like swelling-related discomfort or decreased circulation.

Choice D Reason:

Immobilizing the client's fingers using a hand splint might not be necessary with a short arm cast. Typically, a short arm cast provides immobilization of the wrist and forearm while allowing some movement and function of the fingers unless specifically directed by the healthcare provider for individual circumstances.